Overview and CQC Inspections

OverallGood

Our inspector's description of this service

Last updated 13 September 2018

The Haymarket Health Centre is registered with the Care Quality Commission (CQC) as a partnership provider. We previously carried out an announced comprehensive inspection at the practice on 11 January 2017. The overall rating for the practice was inadequate with inadequate for providing safe and well-led services, and requires improvement ratings for providing effective, caring and responsive services. As a result, the service was placed into special measures and we issued a warning notice in relation to a breach in Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulation 2014: Good Governance. We undertook an announced focused inspection on 3 July 2017 to follow up on the warning notice. We found that the provider had met the legal requirements of the warning notice. Following a period of special measures, we carried out an announced comprehensive inspection on 28 September 2017. Overall the practice was rated as good with requires improvement in providing responsive services and taken out of special measures. All of these reports can be found by selecting the ‘all reports’ link for The Haymarket Health Centre on our website at www.cqc.org.uk.

The practice holds a General Medical Services (GMS) contract with NHS England and is part of the NHS Stoke-On-Trent Clinical Commissioning Group (CCG). A GMS contract is a contract between NHS England and general practices for delivering general medical services and is the commonest form of GP contract. The practice delivers services from two locations:

We did not visit either of these locations during in this inspection but reviewed the information forwarded to us by the provider.

The practice is in an area of high deprivation being in the first most deprived decile in the country. The practice age distribution is in line with the national and CCG average. The practice has a higher percentage of patients with a long-standing health condition which could mean increased demand for GP services. At the time of the inspection the practice had 13,790 registered patients.

The practice is operated by the GPs of a practice which is situated approximately four miles away. The aim of the collaboration is to facilitate cross site working. Shared policies and procedures have been implemented enabling staff to access information technology and training facilities at both sites.

The practice staffing comprises:

One business partner

Five GP partners (four male and one female)

Four salaried GPs (two male and two female)

A locum GP (male)

A prescribing pharmacist and a pharmacy technician

Four advanced nurse practitioners, four nurse practitioners, three practice nurses and six health care assistants

Eight managers

A team of 32 administrative staff including receptionists and call handlers.

GP telephone consultations are available for patients who are unable to attend the practice within normal opening hours. During the out-of-hours period services are provided by Staffordshire Doctors Urgent Care, patients access this service by calling NHS 111.

The practice offers a range of services for example, immunisations for children, child development checks, travel vaccinations, lifestyle advise and management of long term conditions such as diabetes. Further details can be found by accessing the practice’s website at www.haymarkethealthcentre.co.uk

Inspection ratings

We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels:

Outstanding – the service is performing exceptionally well.

Good – the service is performing well and meeting our expectations.

Requires improvement – the service isn't performing as well as it should and we have told the service how it must improve.

Inadequate – the service is performing badly and we've taken enforcement action against the provider of the service.

No rating/under appeal/rating suspended – there are some services which we can’t rate, while some might be under appeal from the provider. Suspended ratings are being reviewed by us and will be published soon.

Ticks and crosses

We don't rate every type of service. For services we haven't rated we use ticks and crosses to show whether we've asked them to take further action or taken enforcement action against them.

There's no need for the service to take further action. If this service has not had a CQC inspection since it registered with us, our judgement may be based on our assessment of declarations and evidence supplied by the service.

The service must make improvements.

At least one standard in this area was not being met when we inspected the service and we have taken enforcement action.